Home Health, ICD-10, News

Home health: Surgical wound infection codes set to expand dramatically in FY2019

Home health coders could have 435 ICD-10-CM code changes to deal with starting Oct. 1, with 247 new codes, 139 revised codes and 49 codes rendered invalid, according to the proposed hospital inpatient prospective payment system rule (IPPS) rule released April 24.

One notable code, T81.4xxA (Infection following a procedure, initial encounter), could become invalid in the new code year.

That’s because T81.4xxA, which is the code assigned to capture active treatment provided to a surgical wound infection, is among 49 codes proposed for deletion from the code set, according to the rule.

Featured Free Resource

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

Free Resources

What will your revenue and expenses look like for a Medicare Part A resident admitted under PDPM? Find out with this free questionnaire from The Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care.

The way agencies get paid and aspects of almost all areas of business will completely shift under the new Patient-Driven Groupings Model (PDGM). We’ve partnered with industry experts and rounded up crucial action-items you won’t want to overlook as you prepare for this massive change.

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

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Our upcoming Post-Acute Forum takes place November 18 & 19, 2019 in Phoenix, AZ. This complimentary event is specifically designed for decision-makers at skilled nursing facilities and home health agencies.